Violence-related traumatic brain injury: a population-based study

J Trauma. 2003 Dec;55(6):1045-53. doi: 10.1097/01.TA.0000044353.69681.96.


Background: Most studies of traumatic brain injury (TBI) and violence are small, focus on one violent mechanism only, and are nonrepresentative. This large, population-based effort examines characteristics, circumstances of injury, treatment pathways, and outcomes of persons with TBI as a result of all types of violence, compares them with other TBI survivors, identifies a risk profile, and examines how a violent cause impacts later outcomes.

Methods: This study involved medical record abstraction and telephone survey at 1 year postinjury of a weighted sample of 2,771 Coloradans hospitalized with TBI between January 1, 1996, and June 30, 1999.

Results: People with violently incurred TBI are more likely to be young, male, members of minority groups, single, and premorbid alcohol abusers than other TBI survivors. At 1 year postinjury, they report less community integration and more headaches, confusion, and sensory and attentional disturbances. Predictors of these outcomes included age, gender, injury severity, and employment status.

Conclusion: It appears that essentially the same factors that increase risk of sustaining a violent TBI negatively impact later outcomes as well.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Brain Injuries / epidemiology*
  • Brain Injuries / etiology*
  • Brain Injuries / therapy
  • Brain Injury, Chronic / diagnosis
  • Brain Injury, Chronic / etiology
  • Colorado / epidemiology
  • Disability Evaluation
  • Female
  • Glasgow Coma Scale
  • Humans
  • Injury Severity Score
  • Linear Models
  • Logistic Models
  • Male
  • Middle Aged
  • Population Surveillance
  • Predictive Value of Tests
  • Retrospective Studies
  • Risk Factors
  • Sex Distribution
  • Survival Analysis
  • Treatment Outcome
  • Violence / statistics & numerical data*